Academic Patient-Centered Medical Home Fellowship in Family Medicine

ABOUT THE PCMH FELLOWSHIP The fellowship is a one-year, full-time faculty development fellowship designed to create physician leaders in primary care practice improvement and transformation to PCMH model of care.  West Virginia University Department of Family Medicine has been engaged in practice transformation since January 2012 and works collaboratively with affiliated practices at various stages of PCMH development. The rich academic environment of the department and the institution provides valuable opportunities for experiential learning in practice transformation leadership.

The fellow serves as a member of our interprofessional quality team that includes advanced practice nurse wellness coordinator, nurse case managers and pharmacist.  The quality team develops strategies for high risk vulnerable patients and provides oversight for practice care coordination activities.  The fellow works collaboratively with all members of the care team (nursing, pharmacists, dietitian, social worker, registration and billing staff), providing leadership for quality improvement efforts, workflow redesign and team care strategies.  The fellow provides education to medical students and residents about patient-centered medical home concepts and practice based quality improvement (monthly updates during resident meeting, didactic lectures to students, coaching residents for quality improvement projects).   Every member of the clinical care team participates in one of six Care Improvement Teams for work on practice improvement (consisting of several faculty, a resident at each level, nursing staff, registration staff, quality office representative).  The fellow participates in all the Care Team meetings and assists with each team’s quality improvement projects and population health reports.

GOALS

• Acquire skills to develop, evaluate, teach and lead practice improvement.
• Acquire applicable knowledge and experience regarding PCMH transformation in an active PCMH environment.
• Acquire expertise regarding primary care practice requirements for attaining NCQA PCMH Recognition.

QUALIFICATIONS

• Graduate of an accredited Family Medicine Residency Program, with board eligibility or board certification.
• Excellent academic and clinical record.
• Interest in developing skills in healthcare data analytics, clinical team leadership and chronic disease management.

SCHOLARSHIP REQUIREMENTS The Fellow will be required to present at least one presentation (poster or other presentation) related to primary care practice transformation at a national or regional conference. The Fellow will be encouraged to participate in scholarly exchanges about PCMH and primary care redesign including practice improvement workshops and online learning communities such as TransforMED Delta Exchange or Patient Centered Primary Care Collaborative.